scholarly journals Gender differential impact of bereavement on health outcomes: evidence from the China Health and Retirement Longitudinal Study, 2011–2015

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Zhuo Chen ◽  
Jiahui Ying ◽  
Justin Ingles ◽  
Donglan Zhang ◽  
Janani Rajbhandari-Thapa ◽  
...  
Keyword(s):  
Mental Health ◽  
Longitudinal Study ◽  
Older Women ◽  
Epidemiologic Studies ◽  
Care Utilization ◽  
Depression Symptoms ◽  
The Individual ◽  
Self Assessed Health ◽  
The Impact ◽  
Gender Differential

Abstract Background Bereavement is the experience of an individual following the death of a person of significance to the individual, most often referring to the spouse. Increased morbidity, health care utilization, and mortality are known to be associated with bereavement. Given China’s growing population of older adults, there is a critical need to assess the health consequences of bereavement. Method We use data from the China Health and Retirement Longitudinal Study to examine the impact of bereavement on mental health and quality of life among a sample of mid- and older-aged adults. We use propensity score matching to construct a matching sample and difference-in-differences method to estimate the impact of bereavement on mental health and self-assessed health. Results We find bereavement is associated with increased depression symptoms among women (1.542 point or 0.229 standard deviations of Center for Epidemiologic Studies Depression (CES-D) 10 score) but not consistently for men over time. No statistically significant effect of bereavement on self-assessed health is found. Conclusions Our results show a harmful impact of bereavement on mental health among older women in China and point to the need for a comprehensive policy on survivor benefits in China, particularly for rural older women.

scholarly journals A longitudinal study of mental health before and during COVID-19 lockdown in the French population

2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Leila Ramiz ◽  
Benjamin Contrand ◽  
Madelyn Yiseth Rojas Castro ◽  
Marion Dupuy ◽  
Li Lu ◽  
...  
Keyword(s):  
Mental Health ◽  
Longitudinal Study ◽  
Physical Health ◽  
Secondary Analysis ◽  
The Elderly ◽  
Anxiety Symptoms ◽  
Depression Symptoms ◽  
Online Questionnaire ◽  
Set Up ◽  
The Impact

Abstract Background The impact of general population lockdown implemented in the face of the COVID-19 epidemic needs to be evaluated. We describe here a longitudinal study on the mental health of adults in France. Methods We did a secondary analysis of a web-based cohort, initially set up to study home and leisure injuries, in order to measure the consequences of the national lockdown implemented in France from 17 March 2020 to 11 May 2020, and to assess potential vulnerability and resilience factors. Eligible participants were invited to answer an online questionnaire designed to assess their living conditions and health during lockdown. Comparisons were done with answers provided 4.8 years earlier on average. Results On 15th April 2020, we sent email invitations to 9598 participants recruited between November 2014 and December 2019 and 1237 volunteers took part in the study by completing the online questionnaire. The proportion of those with anxiety symptoms markedly increased from 17.3 to 20.1%. The average self-rated level of mental health decreased from 7.77 to 7.58. Women, the elderly and the youngest appeared to be more vulnerable. A small living space (less than 30 m2) was associated with an increase in depression symptoms (PHQ-9 score), and poorer self-rated physical health at recruitment was associated with an increase in anxiety symptoms (GAD-7 score). On the contrary, the average self-rated level of physical health markedly increased from 7.44 to 7.94 between recruitment and lockdown, and the proportion of those who reported a level of 9 or 10 jumped from 25.7% at recruitment to 43.1% during lockdown. Conclusions Mental health deteriorated during lockdown in France during the 2020 COVID-19 crisis. Overall, self-rated physical health improved but those who experienced a worse physical health were more likely to report anxiety symptoms.

scholarly journals DRIVING CESSATION IS ASSOCIATED WITH POORER MENTAL HEALTH

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S343-S343
Author(s):  
Arne Stinchcombe ◽  
Carlina Marchese ◽  
Shauna Fossum ◽  
Sylvain Gagnon ◽  
Gary Naglie ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Outcomes ◽  
Depression Scale ◽  
Epidemiologic Studies ◽  
Mental Health Outcomes ◽  
Health Study ◽  
Depression Symptoms ◽  
Driving Cessation ◽  
Using Data ◽  
The Impact

Abstract The Canadian Longitudinal Study on Aging (CLSA) is a longitudinal health study that will follow individuals aged 45 to 85 for 20 years. At baseline, participants completed measures related to driving status and mental health outcomes (e.g., Center for Epidemiologic Studies Depression Scale; CES-D). In this study we examined the associations between driving status and mental health outcomes. In the baseline sample, 1,415 participants reported being former drivers and 44,694 reported being current drivers. A greater proportion of former drivers were female, older, and urban-dwelling. Compared to current drivers, former drivers had lower levels of social support, poorer self-rated physical health, and less community participation. After controlling for these covariates as well as age and sex, former drivers had greater odds than current drivers of being classified as depressed (OR=2.48, 95% CI=2.21-2.79), and of reporting psychological distress (OR=2.22, 95% CI=1.87-2.62). Using data from former drivers only, we also examined associations between variables that contributed to driving cessation and depression symptoms. Former drivers had greater odds of being depressed if they reported feeling nervous or intimidated behind the wheel (OR=1.77, 95% CI= 1.11 - 2.80), or if they experienced difficulties with the licensing process (OR=1.62, 95% CI=1.07 - 2.54), before they stopped driving. As a next step we will search for factors that may modify the relationship between driving status and mental health. The identification of factors that modify the impact of driving cessation on mental health is critical to the development of interventions that will support smoother transitions to non-driving.

scholarly journals COVID-19 Perceived Impact and Psychological Variables as Predictors of Unhealthy Food and Alcohol Consumption Trajectories: The Role of Gender and Living with Children as Moderators

2021 ◽  
Vol 18 (9) ◽  
pp. 4542
Author(s):  
Camila Salazar-Fernández ◽  
Daniela Palet ◽  
Paola A. Haeger ◽  
Francisca Román Mella
Keyword(s):  
Mental Health ◽  
Alcohol Consumption ◽  
Depression Symptoms ◽  
Unhealthy Food ◽  
Psychological Variables ◽  
Curve Modeling ◽  
Perceived Impact ◽  
Mental Health Factors ◽  
The Impact ◽  
Over Time

The present study examines the trajectories of unhealthy food and alcohol consumption over time and considers whether perceived impact of COVID-19 and psychological variables are predictors of these trajectories. We ascertained whether these predictors are different in women vs. men and between women living with vs. without children. Data were collected through online surveys administered to 1038 participants from two universities (staff and students) in Chile, across five waves (July to October 2020). Participants provided information about their past-week unhealthy food and alcohol consumption and mental health. Using latent growth curve modeling analysis, we found that higher perceived health and interpersonal COVID-19 impact, younger age and lower depression symptoms were associated with more rapid increases over time in unhealthy food consumption. On the other hand, higher perceived COVID-19 economic impact and older age were associated with more rapid diachronic decreases in alcohol consumption. Gender and living with or without children, for women only, were moderators of these trajectories. This longitudinal study provides strong evidence identifying the multiple repercussions of COVID-19 and mental health factors on unhealthy food and alcohol consumption. These findings highlight the need for interventions aimed at minimizing the impact of the pandemic on unhealthy food and alcohol consumption over time.

The Evolution of the Role of U.S. School Nurses in Adolescent Mental Health at the Individual, Community, and Systems Level: An Integrative Review

2022 ◽  
pp. 105984052110681
Author(s):  
Ashwini R. Hoskote ◽  
Emily Croce ◽  
Karen E. Johnson
Keyword(s):  
Mental Health ◽  
Adolescent Mental Health ◽  
School Nurse ◽  
School Nurses ◽  
Integrative Review ◽  
School Nursing ◽  
Individual Level ◽  
The Individual ◽  
The Impact

School nurses are crucial to addressing adolescent mental health, yet evidence concerning their evolving role has not been synthesized to understand interventions across levels of practice (i.e., individual, community, systems). We conducted an integrative review of school nurse roles in mental health in the U.S. related to depressive symptoms, anxiety, and stress. Only 18 articles were identified, published from 1970 to 2019, and primarily described school nurses practicing interventions at the individual level, yet it was unclear whether they were always evidence-based. Although mental health concerns have increased over the years, the dearth of rigorous studies made it difficult to determine the impact of school nurse interventions on student mental health outcomes and school nurses continue to feel unprepared and under supported in this area. More research is needed to establish best practices and systems to support school nursing practice in addressing mental health at all levels of practice.

scholarly journals Consumer-run services research and implications for mental health care

2016 ◽  
Vol 25 (5) ◽  
pp. 410-416 ◽  
Author(s):  
S. P. Segal ◽  
S. L. Hayes
Keyword(s):  
Mental Health ◽  
Lived Experience ◽  
Self Determination ◽  
Functional Improvement ◽  
Way Of Life ◽  
Services Research ◽  
Self Help ◽  
Mental Health Consumers ◽  
The Individual ◽  
The Impact

Mental health consumers/survivors developed consumer-run services (CRSs) as alternatives to disempowering professionally run services that limited participant self-determination. The objective of the CRS is to promote recovery outcomes, not to cure or prevent mental illness. Recovery outcomes pave the way to a satisfying life as defined by the individual consumer despite repetitive episodes of disorder. Recovery is a way of life, which through empowerment, hope, self-efficacy, minimisation of self-stigma, and improved social integration, may offer a path to functional improvement that may lead to a better way to manage distress and minimise the impact of illness episodes. ‘Nothing about us without us’ is the defining objective of the process activity that defines self-help. It is the giving of agency to participants. Without such process there is a real question as to whether an organisation is a legitimate CRS or simply a non-governmental organisation run by a person who claims lived experience. In considering the effectiveness of CRSs, fidelity should be defined by the extent to which the organisation's process conveys agency. Unidirectional helping often does for people what they can do for themselves, stealing agency. The consequence of the lack of fidelity in CRSs to the origins of the self-help movement has been a general finding in multisite studies of no or little difference in outcomes attributable to the consumer service. This, from the perspective of the research summarised herein, results in the mixing of programmatic efforts, some of which enhance outcomes as they are true mutual assistance programmes and some of which degrade outcomes as they are unidirectional, hierarchical, staff-directed helping efforts making false claims to providing agency. The later CRS interventions may provoke disappointment and additional failure. The indiscriminate combining of studies produces the average: no effect.

Longitudinal Effects of Gendered Harassment Perpetration and Victimization on Mental Health Outcomes in Adolescence

2017 ◽  
Vol 35 (23-24) ◽  
pp. 5997-6016 ◽  
Author(s):  
Sarah J. Rinehart ◽  
Dorothy L. Espelage ◽  
Kristen L. Bub
Keyword(s):  
Mental Health ◽  
Sexual Harassment ◽  
Health Outcomes ◽  
Mental Health Outcomes ◽  
Depression Symptoms ◽  
Negative Outcomes ◽  
Cross Sectional ◽  
The Impact ◽  
Homophobic Name Calling ◽  
Gendered Harassment

Gendered harassment, including sexual harassment and homophobic name-calling, is prevalent in adolescents and is linked to negative outcomes including depression, anxiety, suicidality, substance abuse, and personal distress. However, much of the extant literature is cross-sectional and rarely are perpetrators of these behaviors included in studies of outcomes. Therefore, the current study examined the effects of longitudinal changes in gendered harassment perpetration and victimization on changes in mental health outcomes among a large sample of early adolescents. Given that these behaviors commonly occur in the context of a patriarchal society (males hold power), we also investigated the impact of gender on gendered harassment. Participants included 3,549 students from four Midwestern middle schools (50.4% female, 49% African American, 34% White) at two time points (13 and 17 years old). Results indicated that increases from age 13 to 17 years in sexual harassment perpetration and victimization and homophobic name-calling perpetration and victimization predicted increases in depression symptoms and substance use. Gender did not moderate these pathways. These findings highlight that negative outcomes are associated with changes in gendered harassment among adolescents and emphasize the importance of prevention efforts. Implications for school interventions are discussed.

scholarly journals The Impact of Shift Work on Occupational Health Indicators among Professionally Active Adults: A Comparative Study

2021 ◽  
Vol 18 (21) ◽  
pp. 11290
Author(s):  
Henrique Pereira ◽  
Gergely Fehér ◽  
Antal Tibold ◽  
Samuel Monteiro ◽  
Vítor Costa ◽  
...  
Keyword(s):  
Mental Health ◽  
Occupational Health ◽  
Shift Work ◽  
Work Engagement ◽  
Self Efficacy ◽  
Health Indicators ◽  
Depression Symptoms ◽  
Depression And Anxiety ◽  
The Impact ◽  
Active Adults

The analysis of the impact of shift work on occupational health still needs further contributions. Therefore, we developed this research with the purpose of assessing the impact of shift work on occupational health indicators, namely burnout, work-engagement, occupational self-efficacy, and mental health functioning (symptoms of depression and anxiety), by comparing workers who did shift work (44.2% of participants) with workers who did not (55.8% of participants). A total of 695 Portuguese professionally active adults between 18 and 73 years of age (Mage = 37.71; SD = 12.64) participated in this study and completed a survey containing a sociodemographic questionnaire and four occupational health measures: The Burnout Assessment Tool, The Work-Engagement questionnaire (UWES), The Occupational Self-Efficacy Questionnaire, and the BSI-18 for mental health symptoms. Results showed statistically significant differences (p < 0.05) for all indicators, demonstrating that participants who worked shifts presented lower scores of work-engagement and occupational self-efficacy, and higher scores of burnout, depression, and anxiety when compared to participants who did not work shifts. Linear regressions showed that shift work explained significant but low percentages of anxiety symptoms, low work-engagement, depression symptoms, low occupational self-efficacy, and burnout. We concluded that non-standard working hours (by shifts) are detrimental to employee occupational health, by increasing the risk of anxiety and depression levels, and burnout, and by reducing work-engagement (as a well-being indicator) and occupational self-efficacy perceptions.

Creating a culture of employability in mental health

2014 ◽  
Vol 18 (1) ◽  
pp. 29-34 ◽  
Author(s):  
Naomi Boycott ◽  
Justine Schneider ◽  
Michael Osborne
Keyword(s):  
Mental Health ◽  
Supported Employment ◽  
Implementation Process ◽  
Lessons Learned ◽  
Service Development ◽  
Content Type ◽  
The Individual ◽  
The Uk ◽  
Early Intervention In Psychosis ◽  
The Impact

Purpose – The purpose of this paper is to draw out the lessons learned from the implementation of the Individual Placement and Support (IPS) approach to supported employment in two contrasting adult mental health teams; one “standard” CMHT, and one early intervention in psychosis (EIP) team. Design/methodology/approach – These inferences are based on the evidence from a four-year study of IPS in one mental health care provider in the UK, which began by setting up a new service, and went on to run a RCT looking at the impact of psychological input as an adjunct to IPS alone. Findings – In attempting to introduce IPS to mental health teams in Nottingham the authors came across numerous barriers, including service reorganisation, funding cuts and the wider context of recession. Differences were observed between mental health teams in the willingness to embrace IPS. The authors argue that this variability is due to differences in caseload size, recovery priorities and client profiles. The authors have learnt that perseverance, strenuous efforts to engage clinical staff and the use of IPS fidelity reviews can make a positive difference to the implementation process. Practical implications – The experience suggests that setting up an IPS service is possible even in the most challenging of times, and that EIP services may be a particularly fertile ground for this approach. The authors also discuss potential barriers to implementing new services in mental health teams. Originality/value – This paper will be of value to service development and the science of implementation in mental health.

scholarly journals Does your neighborhood protect you from being depressed? A study on social trust and depression in Indonesia

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Mohamad Fahmi ◽  
Nur Afni Panjaitan ◽  
Ibnu Habibie ◽  
Adiatma Y. M. Siregar ◽  
Gilang Amarullah ◽  
...  
Keyword(s):  
Social Trust ◽  
Depression Scale ◽  
Severe Depression ◽  
Total Sample ◽  
Epidemiologic Studies ◽  
Depression Symptoms ◽  
Multilevel Regression ◽  
Individual Level ◽  
Prevalence Of Depression ◽  
The Individual

Abstract Background Prevalence of depression in Indonesia is estimated at about 3.7% of the total population, although the actual may be higher. Studies worldwide have linked the environment where people live to their mental health status. However, little research is found in Indonesia regarding this link. We examined the association between individuals’ perception towards their neighborhood and their depression symptoms. Methods Social trust was measured at the individual (level 1) and community (level 2) levels based on the Indonesian Family Life Survey 5 (IFLS5) in 2014. Depression was measured using the 10-item Center for Epidemiologic Studies-Depression Scale Revised (CESD-R-10) and the scores were transformed into logit form using the Rasch model. Multilevel regression was used to determine correlations. Results Of the total sample of 14,227 respondents in this study, about 19.4% had experienced severe depression symptoms in the past week. Social trust was found to be significantly associated with severe depression symptoms. The weaker the individuals’ social trust towards their neighbourhood, the higher the probability of experiencing severe depression symptoms would be. Conclusions This study shows that social trust is associated with the severity of depression symptoms: the higher the social trust, the lower the probability of having severe depression symptoms is. Depression symptoms may also be attributed to significant differences between communities.

scholarly journals The impact of confinement in the psychosocial behaviour due COVID-19 among members of a Brazilian university

2020 ◽  
pp. 002076402097131
Author(s):  
Heloísa Monteiro Amaral-Prado ◽  
Filipy Borghi ◽  
Tânia Maron Vichi Freire Mello ◽  
Dora Maria Grassi-Kassisse
Keyword(s):  
Mental Health ◽  
Graduate Students ◽  
Coping Strategies ◽  
Perceived Stress ◽  
Depression Symptoms ◽  
University Environment ◽  
Final Exams ◽  
And Coping ◽  
The University ◽  
The Impact

Background: The current situation due COVID-19 may cause an eminent impact on mental health because the confinement restrictions. Aims: The aim of this study was to analyze and compare perceived stress, resilience, depression symptoms and coping strategies on the members of University of Campinas, in Brazil, before and during the outbreak of the COVID-19. Methods: Volunteers over 18 years of both sexes, members of the University of Campinas (Unicamp) in Brazil answered instruments related to perceived stress, depression, resilience and coping strategies during final exams at the end of semester during 2018 to 2020. Results: We obtained 1,135 responses (893 before COVID-19 and 242 during COVID-19). The volunteers did not show significant differences for perceived stress, depressive signs and resilience before and during the pandemic. In both periods, men exhibited lower scores for perceived stress and depression and higher scores for resilience when compared to women. Undergraduate and graduate students exhibited higher perceived stress scores, more pronounced depressive signs and lower resilience, and employees and professors presented lower scores for perceived stress, depressive signs and greater resilience. Conclusions: These first months of confinement did not directly affect the scores of perceived stress, depression and resilience, however, each subgroup adapted to the new routine by changing the coping strategy used. This study suggests the importance of monitoring the mental health of member in the university, especially in times of epidemic, in the search for policies that aim to improve the resilience of the population and seek positive and effective coping strategies within the university environment.

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